AKT-3831
A 25-year-old woman presents with secondary amenorrhoea and galactorrhoea.
What is the most appropriate first investigation to perform?
MRCGP AKT Category: Maternity And Reproductive Health
AKT-3832
What were the primary care lessons highlighted in the Confidential Enquiry into Maternal Deaths 2018 report?
AKT-3833
A 32-year-old woman is seen for review with her baby six weeks postpartum. She is using the lactational amenorrheoic method (LAM) for contraception.
Which of the following should she be advised may increase her risk of pregnancy?
AKT-3834
A 27-year-old female who is approximately 5 weeks pregnant presents to her GP. She reports a two-day history of scanty brownish discharge that resembled old blood; the bleeding has since stopped. She describes no associated abdominal or pelvic pain, has had no syncopal symptoms and no shoulder tip pain. She otherwise feels well.
On examination, she is haemodynamically stable, there is no abdominal or pelvic tenderness. Urine βHCG is positive.
As per NICE guidelines, what is the most appropriate course of action?
AKT-3835
A 28-year-old woman presents with classic signs of a lower urinary tract infection that developed after having sex with a new partner.
What is the most suitable course of action for this patient?
AKT-3820
A 48-year-old woman comes to see you to discuss her contraception. She has been using the progestogen-only pill for the past 4 years. She is currently amenorrhoeic. She is not sure how long she should continue to use contraception for and asks your advice.
She was seen two months ago by a colleague who advised her to have her FSH levels checked. This has shown an FSH level of 42 (normal range: less than 30).
What do you advise?
AKT-3805
A young female patient in her early twenties comes to see you in surgery and you notice that she is taking the combined oral contraceptive pill.
For which one of the following conditions, occurring in isolation, would you consider stopping her pill immediately?
AKT-3821
A 28-year-old female presents with dysuria and vaginal discharge which has deteriorated over the past week. She is in a steady relationship and uses the oral contraceptive pill. Her partner is asymptomatic.
She has a temperature of 37.5°C. Vaginal examination reveals tenderness with an inflamed cervix and a purulent discharge, culture of which reveals Gram negative diplococci.
What is the probable diagnosis?
AKT-3806
A 35-year-old woman with two children visits your clinic seeking contraception. You have ruled out pregnancy or the risk of it. She is in a committed relationship and is going on vacation with her partner tomorrow. Neither of them wants to use condoms, and abstinence will be challenging while on vacation. She had her last period ten days ago and has not had sex since then. If there are no contraindications and she finds the method acceptable, what is the most appropriate contraception for her?
AKT-3807
A thirty-two-year-old lady presents for postpartum contraception review. She has a history of using combined hormonal contraceptives and wishes to continue with this method. She is currently 14 days postpartum.
What would be a contraindication to prescribing a combined hormonal contraceptive at this time?